Female Death Registration: Year: 1971 number: 1065
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001065
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Civic Hospital
3. PRINT NAME OF DECEASED O'Brien, Helen Sinclair
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
single
8. BIRTHPLACE Ship Harbour
9. DATE OF BIRTH 10 18, 1893
10. AGE in Years77 Months2 Days20 | hrs or mins
11. Trade or profession Retired R.N.
12. Kind of industry
13. Date last worked 1967 14. Total years 47 yrs.
15. If married name of spouse N/A
16. NAME of Father Raymond O’Brien
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Anna Laybolt
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mr. Paul Murphy
address 108 Doull Ave., Halifax, NS
Relationship to deceased
21. Place of burial Ship Harbour, NS
Date of burial January 9, 1971
22. Undertaker Halifax Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 7, 1971
CAUSE OF DEATH
(a) cardiac arrest
(b) hypokalaemia
(c) dehydration and chronicle draining subphrenic absces
other Thrombocytopenic Purpura Idiopathic
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493143
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